New Paradigm: The Hybrid Direct Care Model

By Zach Landman

direct primary care journal2OCTOBER 17, 2013 – We see a lot of buzzwords and new ideas spreading as the post-ACA healthcare landscape begins to take shape. Today, we focus on a new idea that may hold the key towards transitioning traditional practices into successful post-ACA practices.

The Hybrid Direct Care Model.

Under the Hybrid Direct Care Model, practitioners have the ability to hold two practice models (which also means two revenue streams) under one roof. Let’s call these two models “Practice 1″ and “Practice 2″.

“Practice 1″, the direct care model, allows practitioners to focus on a few premium-paying patients, allowing them better availability and more specialized care. Patients that pay a subscription can get unprecedented access to their doctor through quick appointments, email consultations, free annual physicals, and longer consultations. Practitioners can still bill Medicare and insurance companies for services covered under the patients’ plans. Under this model, the practitioner can maintain a base of around 16-18 patients per day, allowing them to offer more personalized care while maintaining healthy reimbursements.

“Practice 2″, the traditional model, delegates the common medical tasks to physician assistants and nursing assistants: physicals, check-ups, tests, and the like. Practitioners can still administer precise and complex care to any patient in need, but the patients under “Practice 1″ gain priority over the walk-ins and new patients covered under “Practice 2″.

In essence, the Hybrid Direct Care Model offers two things to post-ACA practices:

1. It offers a gateway into a smaller, more efficient, and more profitable practice by offering premium direct care to patients in need. By offering fees that are about the same cost as most patients’ annual cable bill, practitioners can get healthier margins and increase the value of their practice even if they see less patients.

2. The post-ACA healthcare landscape makes the traditional model a difficult one to keep afloat. By introducing a more efficient and more agile way to attract reimbursements, practitioners can reap the benefits of having a hybrid direct care model while maintaining the safety and comfort of a traditional practice.

We at DoctorBase believe that the hybrid direct care model is definitely something to look out for. As more and more doctors turn to alternative ways to keep their practices afloat, it’s innovative ideas like these that’ll determine the future of healthcare.

If you’re interested in learning more about the hybrid direct care model, or any emerging trends in mHealth, visit our website. We’d love to get in touch with you.

About Zach Landman

A UCSF and Harvard Medical School trained resident orthopaedic surgeon, Zach began using DoctorBase’s mobile platform as a customer and immediately saw the potential to help their product expand to hospitals and provider networks. He founded a Harvard Journal Club with support from Synthes and Stryker Orthopaedics, was a member of the prestigious Alpha Omega Alpha Medical Honor Society at UCSF, and graduated magna cum laude from Pomona College. In his spare time Zach trains for ultramarathons and is an avid reader.


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